P00.7 vs P03
P00.7 and P03 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on P00.7
newborn affected by other complications of labor and delivery (P03.-)
P00.7
Newborn affected by other medical procedures on mother, not elsewhere classified
BillableUnspecified
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
Use when the record says
- Newborn affected by radiation to mother
Indexed under
- Newborn › affected by › maternal › medical procedure (infant) (liveborn) (singleton)
P03
Newborn affected by other complications of labor and delivery
Not billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027